Healthcare Provider Details

I. General information

NPI: 1801707351
Provider Name (Legal Business Name): HALEY ANN AYOTTE BS, IPDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 MARQUIS RD
VAN BUREN ME
04785-1717
US

IV. Provider business mailing address

254 MARQUIS RD
VAN BUREN ME
04785-1717
US

V. Phone/Fax

Practice location:
  • Phone: 207-496-8978
  • Fax:
Mailing address:
  • Phone: 207-496-8979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberRDH4071
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: